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Exam Development

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Exam Development

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Examination Development The group that oversees CANS test development

is the Plastic Surgical Nursing Certification Board


(PSNCB), which is made up of nurses with
expertise in plastic surgical and aesthetic
nursing. There is also a CANS Test Committee
that writes the actual test questions. Item
writers, who are certified aesthetic nurses from
a variety of geographic and practice settings,
write test questions to meet the CANS blueprint
requirements. Members of both the PSNCB and
the CANS Test Committee are considered
“content experts” concerning the knowledge
and skills needed by aesthetic nurses for safe
practice.

Each question on the test can be linked directly


to the tasks/activities in the practice analysis
survey. The Test Committee meets in person
Valid and reliable tests do not arise twice a year to review, evaluate, and write test
spontaneously from item writers. They are questions. To be certain that the test content is
carefully planned to ensure that they are legally accurate, all questions are supported using
defensible and psychometrically sound. A test appropriate current references.
has a specific blueprint, or test plan, which
identifies what content needs to be included on The test, now in exam form, consists of 150
the test. In addition, there is a list of the key questions that match the test blueprint. About
content or activities performed by aesthetic 25 of the questions are new experimental or
nurses. Both the blueprint and the key “pilot” questions that are not scored. Pilot
content/activities serve as item writing guides or testing of new questions allows for the
“test specifications” for the item writers. evaluation of questions to determine if they are
valid before they become scored questions.
Where do these test specifications come from?
The content of the Certified Aesthetic Nurse The passing score, or cut score, of the test is
Specialist (CANS) examination is based on a determined by a panel of nurses who serve as
practice analysis survey of aesthetic nurses that subject matter experts (SMEs). Both experienced
identifies the key tasks/activities performed by and newly certified nurses serve on this panel.
entry-level aesthetic nurses. A national task This group performs a standard setting
force is brought together to plan the survey procedure (Angoff) in which each test question
content. This task force includes aesthetic is reviewed to determine its level of difficulty.
nurses, as well as clinical educators and clinical Finally, the passing score is determined. It is
managers of aesthetic nurses. Following data based on the SME panel’s estimation of the level
collection, the task force reviews the survey of difficulty required to identify individuals who
results and makes recommendations for the have an acceptable level of knowledge and skill.
CANS test specifications, or blueprint. Most Therefore, each candidate’s test score is
importantly, a practice analysis is performed measured against a predetermined standard,
every five years to be sure the test reflects not against the performance of other test takers.
current practice and is kept up to date. A score of about 75% correct is required to pass
the CANS examination.

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